inovmedИнновационная медицина КубаниInnovative Medicine of Kuban2541-9897Scientific Research Institute – Ochapovsky Regional Clinical Hospital No. 1inovmed-38Research ArticleСЛУЧАИ ИЗ ПРАКТИКИCASE REPORTSУСПЕШНАЯ ТРОМБОЭМБОЛЭКТОМИЯ ИЗ ПРОСВЕТА ПРАВОЙ ВНУТРЕННЕЙ СОННОЙ АРТЕРИИ С ПРИМЕНЕНИЕМ СТЕНТ-РЕТРИВЕРА И ДАЛЬНЕЙШЕЙ БАЛЛОННОЙ АНГИОПЛАСТИКИSUCCESSFUL THROMBOEMBOLECTOMY THROUGH THE RIGHT INTERNAL CAROTID ARTERY LUMEN WITH STENT-RETRIEVER APPLICATION AND FURTHER BALLOON ANGIOPLASTYБелыйА. И.BeliyA. I.ofedoar@mail.ruЕфимовВ. В.EfimovV. V.noemail@neicon.ruВолколупО. С.VolkolupO. S.noemail@neicon.ruТупикинР. А.TupikinR. A.noemail@neicon.ruНаучно-исследовательский институт – Краевая клиническая больница № 1 им. проф. С.В. Очаповского Министерства здравоохранения Краснодарского краяРоссияScientific Research Institute – Ochapovsky Regional Clinical Hospital no. 1, The Krasnodar Krai Ministry of HealthRussian Federation201630122016044144Copyright © Белый А.И., Ефимов В.В., Волколуп О.С., Тупикин Р.А., 20162016Белый А.И., Ефимов В.В., Волколуп О.С., Тупикин Р.А.Beliy A.I., Efimov V.V., Volkolup O.S., Tupikin R.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.innovmedkub.ru/jour/article/view/38

В течение последних лет при лечении острых ишемических инсультов активно применяются методики эндоваскулярного вмешательства. Подобный метод лечения характеризуется большим терапевтическим окном, высокой эффективностью и стойкостью эффекта в сравнении с системной тромболитической терапией. В данной статье представлено клиническое наблюдение эндоваскулярной механической тромбоэмболэктомии с использованием стента-ретривера и последующей баллонной ангиопластики у пациента с острым ишемическим инсультом вследствие тромбоза в области стенотического поражения клиноидного отдела внутренней сонной артерии.

For the last several years while treating acute ischemic strokes methods of endovascular interventions are favorably applied. Similar treatment methods are characterized by large therapeutic window, high efficiency and effect persistence comparing to systemic thrombolytic therapy. In the present article we present clinic observance for endovascular mechanical thromboembolectomy with stent-retriever and further balloon angioplasty in a patient with acute ischemic stroke in the area of stenotic lesion of internal carotid artery wedge-shaped aspect.

острый ишемический инсульттромбоэмболэктомиястент-ретривербаллонная ангиопластикатромболитическая терапияacute ischemic strokethromboembolectomystent-retrieverballoon angioplastythrombolytic therapyReferencesGorelick P.B. Burden of stroke and risk factors. In: Bornstein N.M. (ed). Stroke: practical guide for clinicians. Basel: Karger; 2009: 9 - 23.Gorelick P.B. Burden of stroke and risk factors. In: Bornstein N.M. (ed). Stroke: practical guide for clinicians. Basel: Karger; 2009: 9 - 23.Tissue plasminogen activator for acute ischemic stroke: The National Institute of Neurological Disorders and Stroke rtPA Stroke Study Group. N. Engl. J. Med. 1995; 333: 1581 - 7.Tissue plasminogen activator for acute ischemic stroke: The National Institute of Neurological Disorders and Stroke rtPA Stroke Study Group. N. Engl. J. Med. 1995; 333: 1581 - 7.Wolpert S. M., Bruckmann H., Greenlee R., et al. Neuroradiologic evaluation of patients with acute stroke treated with recombinant tissue plasminogen activator: the rtPA Acute Stroke Study Group. Am. J. Neuroradiol. 1993; 14: 3 - 13.Wolpert S. M., Bruckmann H., Greenlee R., et al. Neuroradiologic evaluation of patients with acute stroke treated with recombinant tissue plasminogen activator: the rtPA Acute Stroke Study Group. Am. J. Neuroradiol. 1993; 14: 3 - 13.Zangerle A., Kiechl S., Spiegel M., et al. Recanalization after thrombolysis in stroke patients: predictors and prognostic implications. Neurology. 2007; 68: 39 - 44.Zangerle A., Kiechl S., Spiegel M., et al. Recanalization after thrombolysis in stroke patients: predictors and prognostic implications. Neurology. 2007; 68: 39 - 44.Alexandrov A. V., Grotta J. C.: Arterial reocclusion in stroke patients treated with intravenous tissue plasminogen activator. Neurology. 2002; 59: 862 - 7.Alexandrov A. V., Grotta J. C.: Arterial reocclusion in stroke patients treated with intravenous tissue plasminogen activator. Neurology. 2002; 59: 862 - 7.Rubiera M., varez-Sabin J., Ribo M., Montaner J., Santamarina E., Arenillas J. F., Huertas R., Delgado P., Purroy F., Molina C. A.: Predictors of early arterial reocclusion after tissue plasminogen activator-induced recanalization in acute ischemic stroke. Stroke. 2005; 36: 1452 - 6.Rubiera M., varez-Sabin J., Ribo M., Montaner J., Santamarina E., Arenillas J. F., Huertas R., Delgado P., Purroy F., Molina C. A.: Predictors of early arterial reocclusion after tissue plasminogen activator-induced recanalization in acute ischemic stroke. Stroke. 2005; 36: 1452 - 6.Flint A. C., Duckwiler G. R., Budzik R. F., et al. Mechanical thrombectomy of intracranial internal carotid occlusion: pooled results of the MERCI and Multi MERCI Part I trials. Stroke. 2007; 38: 127 - 80.Flint A. C., Duckwiler G. R., Budzik R. F., et al. Mechanical thrombectomy of intracranial internal carotid occlusion: pooled results of the MERCI and Multi MERCI Part I trials. Stroke. 2007; 38: 127 - 80.Smith W. S., Sung G., Starkman S., et al. Safety and efficacy of mechanical embolectomy in acute ischemic stroke: results of the MERCI trial. Stroke. 2005; 36: 1432 - 8.Smith W. S., Sung G., Starkman S., et al. Safety and efficacy of mechanical embolectomy in acute ischemic stroke: results of the MERCI trial. Stroke. 2005; 36: 1432 - 8.Merci retriever. Clin. Privil. White Pap., 2004; 12: 1 - 8.Merci retriever. Clin. Privil. White Pap., 2004; 12: 1 - 8.Gobin Y. P., Starkman S., Duckwiler G. R., et al. MERCI 1: a phase 1 study of Mechanical Embolus Removal in Cerebral Ischemia. Stroke. 2004; 35: 2848 -54.Gobin Y. P., Starkman S., Duckwiler G. R., et al. MERCI 1: a phase 1 study of Mechanical Embolus Removal in Cerebral Ischemia. Stroke. 2004; 35: 2848 -54.Powers W. J., Derdeyn C. P., Biller J., et al. 2015 American Heart Association/American Stroke Association Focused Update of the 2013 Guidelines for the Early Management of Patients With Acute Ischemic Stroke Regarding Endovascular Treatment: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association. Stroke. 2015; 46: 3024-39. DOI: 10.1161/STR.0000000000000074.Powers W. J., Derdeyn C. P., Biller J., et al. 2015 American Heart Association/American Stroke Association Focused Update of the 2013 Guidelines for the Early Management of Patients With Acute Ischemic Stroke Regarding Endovascular Treatment: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association. Stroke. 2015; 46: 3024-39. DOI: 10.1161/STR.0000000000000074.Practice advisory: thrombolytic therapy for acute ischemic stroke-summary statement. Report of the Quality Standards Subcommittee of the American Academy of Neurology. Neurology. 1996; 47: 835 - 9.Practice advisory: thrombolytic therapy for acute ischemic stroke-summary statement. Report of the Quality Standards Subcommittee of the American Academy of Neurology. Neurology. 1996; 47: 835 - 9.Adams H.P. Jr., Brott T.G., Furlan A.J., et al. Guidelines for thrombolytic therapy for acute stroke: a supplement to the guidelines for the management of patients with acute ischemic stroke - a statement for healthcare professionals from a Special Writing Group of the Stroke Council. American Heart Association. Circulation. 1996; 94: 1167 - 74.Adams H.P. Jr., Brott T.G., Furlan A.J., et al. Guidelines for thrombolytic therapy for acute stroke: a supplement to the guidelines for the management of patients with acute ischemic stroke - a statement for healthcare professionals from a Special Writing Group of the Stroke Council. American Heart Association. Circulation. 1996; 94: 1167 - 74.Meyer F.B., Sundt T.M. Jr., Piepgras D. G., et al. Emergency carotid endarterectomy for patients with acute carotid occlusion and profound neurological deficits. Ann. Surg. 1986; 203: 82 - 9.Meyer F.B., Sundt T.M. Jr., Piepgras D. G., et al. Emergency carotid endarterectomy for patients with acute carotid occlusion and profound neurological deficits. Ann. Surg. 1986; 203: 82 - 9.

The authors declare that there are no conflicts of interest present.